Evidence map›Paper›PMID 41127224›Full record

ArticleProceedings. Mathematical, physical, and engineering sciences2023

Computational modelling distinguishes diverse contributors to aneurysmal progression in the Marfan aorta.

David S Li, Cristina Cavinato, Marcos Latorre, Jay D Humphrey

Abstract read
In one paragraph

Article in Proceedings. Mathematical, physical, and engineering sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Hypertension drives thoracic aortic aneurysm and dissection in male, but not female, Marfan mice.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  4. Growth arrest of thoracic aortic aneurysms in aging Marfan mice.American journal of physiology. Heart and circulatory physiology · 2026
    Article
  5. Mechanics and mechanobiology of arterial development.Biomechanics and modeling in mechanobiology · 2026
    Review
  6. Article
  7. Mechanisms driving thoracic aortic aneurysm instability.Biomechanics and modeling in mechanobiology · 2026
    Article
  8. Mechanisms Driving Thoracic Aortic Aneurysm Stability.bioRxiv : the preprint server for biology · 2025
    Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

David S LiDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0002-6489-0191
Cristina CavinatoLMGC, Univ. Montpellier, CNRS, Montpellier, France.
Marcos LatorreCentre for Research and Innovation in Bioengineering, Universitat Politècnica de València, València, Spain.ORCID 0000-0003-4142-0207
Jay D HumphreyDepartment of Biomedical Engineering, Yale University, New Haven, CT, USA.ORCID 0000-0003-1011-2025

Funding

TGFB-Dependent Mechanoresponses by Aortic Smooth Muscle Cells Govern AneurysmsP01HL134605 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RIFKIN, DANIEL B · 2018 to 2022
$12.1M
Smooth Muscle Cell Proliferation and Degradative Phenotype in Thoracic Aorta Aneurysm and DissectionR01HL146723 · NHLBI · YALE UNIVERSITY · PI HUMPHREY, JAY D., TELLIDES, GEORGE · 2019 to 2022
$2.9M
Neural Operator Learning to Predict Aneurysmal Growth and OutcomesR01HL168473 · NHLBI · YALE UNIVERSITY · PI Roland Assi, Chiara Bellini · 2023 to 2026
$2.7M
NHLBI NIH HHS P01 HL134605NHLBI NIH HHS R01 HL146723NHLBI NIH HHS R01 HL168473
6 · The paper itself

Abstract

Thoracic aortic aneurysms are characterized by a progressive loss of biomechanical functionality resulting from degenerative changes in wall composition, microstructure, and mechanical properties. Among the many causes of these lesions, Marfan syndrome is the most common heritable condition, resulting from mutations to the gene that codes the elastin-associated glycoprotein fibrillin-1. Key histopathological features of the aneurysmal Marfan aorta include extensive degradation of elastic fibres, significant remodelling of fibrillar collagens and compromised smooth muscle cell function. Computational growth and remodelling models have confirmed the importance of compromised elastic fibre integrity in aneurysmal dilatation, but we show here that this contributor alone is not sufficient to describe biomechanical data collected from the two most common mouse models of Marfan syndrome. Rather, our simulations suggest that compromised mechanosensing and mechanoregulation of extracellular matrix by mural cells also play central roles in the natural history. Determination of optimal disease-contributing parameters further suggests a rapid reduction in cellular mechanosensing and mechanoregulation relative to diminished elastic fibre integrity, highlighting the importance of inter- and intra-lamellar elastin in the Marfan aorta. Aneurysmal dilatation in Marfan syndrome thus results from multiple contributors to progressive degeneration of the aortic wall, and computational mechanobiological models can help disentangle these contributions.

Indexed as

biomedical engineeringcollagen remodellingcomputer modelling and simulationelastic fibre fragmentationmathematical modellingmatrix turnovermechanosensing

Identifiers

PMID41127224
PMCPMC12539648

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.